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Search › California › 152W00000X

Theodore Miyasaki

NPI 1740344472 · on the registry since 2006 · sole proprietor

Practice

Address
2400 Monument Blvd
Concord, CA 94520
Phone
(925) 671-7799
Fax
(925) 671-9944
Organisation at this address
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California